Alberta Professional Services, Inc.

LBN: Alberta Professional Services, Inc.
Alberta Professional Services, Inc. is an health care organization with primary practice located at 1000 Revolution Mill Dr Studio 2, Greensboro NC 27405-5042. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / Case Management is the primary health care specialty. Alberta Professional Services, Inc. can be contacted via phone (336) 273-2640, or through Mitchell, Derek via phone (336) 273-2640.

Contact Information

Primary practice address
1000 Revolution Mill Dr Studio 2 Greensboro NC 27405-5042
Phone: (336) 273-2640
Fax: (336) 273-6522
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Derek
Phone: (336) 273-2640

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X MHL-041-768 North Carolina
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-553 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-125 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-152 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-229 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-068 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-164 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-034-108 North Carolina

Profile Details

NPI number 1871658120
LBN Legal business name Alberta Professional Services, Inc.
DBA Doing business as
Authorized official Mitchell, Derek
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871658120 NPPES
North Carolina MEDICAID 3418317
North Carolina MEDICAID 6603001
North Carolina MEDICAID 6603018
North Carolina MEDICAID 6603016
North Carolina MEDICAID 6603140
North Carolina MEDICAID 6603533
North Carolina MEDICAID 6603003
North Carolina MEDICAID 8301821B

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